Tropical Cyclone Debbie – March 2017 - Ex-gratia Disaster Recovery Allowance claim form (EM163)

Assistance for New Zealand non-protected Special Category visa holders who experience a loss of income as a direct result of Tropical Cyclone Debbie - March 2017.

Please read our privacy statement below before you download and complete this form. You will be asked to confirm you have read the privacy statement as part of the claiming process.

Your personal information is protected by law, including the Privacy Act 1988, and is collected by the Australian Government Department of Human Services for the assessment and administration of payments and services. This information is required to process your application or claim.

The Department of Human Services may disclose your information to Commonwealth departments, other persons, bodies or agencies ONLY where you have provided consent or it is required or authorised by law.

The Department of Human Services may disclose limited personal information about you to individuals when your circumstances affect their entitlement to payments and services. Your information may be disclosed to the Attorney-General’s Department, the Department of Immigration and Border Protection and their service providers, or as authorised or required by law. Relevant information may be given to Australian and State Government Departments and Agencies who are involved in the joint administration of this disaster.

Your information may be used by the department or given to other parties for the purposes of research, investigation or where you have agreed or it is required or authorised by law. You can get more information on our privacy page.

If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 27 August 2017